An interstate compact is a constitutionally authorized, legislatively enacted, legally binding contract between multiple states.

Nine professions have active interstate compacts for occupational licensure:

• • Interstate Medical Licensure Compact (IMLC)
  • Nurse Licensure Compact (NLC) and Advanced Practice Registered Nurse Compact (APRN Compact)
  • Recognition of Emergency Medical Services Personnel Licensure Compact (The EMS Compact)
  • The Physical Therapy Compact (PT Compact)
  • The Psychology Interjurisdictional Compact (PSYPACT)
  • Audiology and Speech-Language Pathology Interstate Compact (ASLP-IC)
  • The Occupational Therapy Licensure Compact (OT Compact)
  • The Counseling Compact

Compacts for teachers, social workers, massage therapists, dentists and dental hygienists, school psychologists and dietitians are under development.

A multistate license grants a licensed professional the ability to practice in all compact member states. To be eligible for a multistate license, a licensed professional must live in a compact member state and hold an active, unencumbered license in their home state and pay all required fees.

We anticipate that our model compact legislation could begin to be taken up in states as early as 2024.

However, our number one priority is to have the most effective model compact possible.

Interstate licensure compacts typically charge small fees which contribute to maintaining a database of licensees and staff support.

However, these small fees are significantly more cost effective than paying for and maintaining licenses in multiple states.

Interstate occupational licensure compacts have no impact on the scope of practice in states which adopt the compact.

The enaction of an interstate compact would have no direct impact on the requirements for a single state issued license.

Interstate compacts can indirectly promote uniformity in licensure requirements amongst states.

No, interstate compact licenses are directly tied to a single state-issued license.

By enacting the compact states simply agree to acknowledge licensees who have met the requirements for licensure in other compact member states.

The compact:

• Facilitates multistate practice.
• Enhances license portability when changing state of residence.
• Expands employment opportunities into new markets.
• Improves continuity of care when patients or providers relocate.
• Supports relocating military spouses.
• Reduces burden of maintaining multiple licenses.